| NPI | 1215048582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN V ADAMS Owner 270-586-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-06-14 |